Higher Frequency of Undetected Acute Coronary Syndrome in Elderly Patients with Chest Pain Who Visited the Emergency Department: A Large-Cohort Retrospective Study
- 주제(기타) Biotechnology & Applied Microbiology
- 주제(기타) Medicine, Research & Experimental
- 설명문(일반) [Hong, Ki Hun] Chung Ang Univ, Coll Med, Dept Prevent Med, Seoul, South Korea; [Bae, Sung Jin; Lee, Dong Hoon] Chung Ang Univ, Coll Med, Dept Emergency Med, Seoul, South Korea; [Lee, Choung Ah] Hallym Univ, Dept Emergency Med, Dongtan Sacred Heart Hosp, Hwaseong, South Korea; [Park, Sang Hyun] Catholic Univ Korea, Coll Med, Dept Emergency Med, Seoul, South Korea; [Kim, Duk Ho] Eulji Univ, Dept Emergency Med, Seoul, South Korea; [Kim, Eui Chung] CHA Univ, CHA Bundang Med Ctr, Dept Emergency Med, Seongnam Si, Gyeonggi Do, South Korea; [Lim, Jee Yong] Seoul St Marys Hosp, Dept Emergency Med, Seoul, South Korea; [Han, Sangsoo] Soonchunhyang Univ, Dept Emergency Med, Bucheon Hosp, Bucheon, South Korea; [Choi, Yoon Hee] Ewha Womans Univ, Mokdong Hosp, Coll Med, Dept Emergency Med, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 HINDAWI LTD
- 발행년도 2021
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000182326
- 본문언어 영어
- Published As http://dx.doi.org/10.1155/2021/6611051
초록/요약
Background. Acute coronary syndrome (ACS) is a critical disease encountered in the emergency department (ED). Despite the development of diagnostic tools, it may be difficult to diagnose ACS because of atypical symptoms and equivocal test results. We investigated the difference in the rates of revisit and undetected ACS between adult and elderly patients who visited the ED with chest pain. Method. Data from 11,323 patients who visited the ED with chest pain at university hospitals in Korea were retrospectively analyzed. The cohort was categorized into two age groups: the adult (30-64 years) and elderly (>65 years). Baseline characteristic data (age, sex, vital signs, triage category, etc.) were obtained. We selected patients who revisited the ED within 30d and investigated whether ACS was diagnosed. Result. The revisit rate was higher in the elderly (12%) than in the adult group (8.3%). The rate of undetected ACS among the revisited patients was 2.91% (18/7,186) in adults and 6.08% (16/1,998) in elderly patients. Conclusion. Elderly patients with chest pain had an increased rate of ED revisits and undetected ACS than adult patients. We recommend that old patients should be hospitalized to observe the progression of cardiac complaints or receive short-term follow-up.
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